Get the free PRIVILEGING APPLICATION - Highmark Blue Shield

High mark Privileging Application INSTRUCTIONS 1. Complete this application if you provide any diagnostic imaging services. 2. Please complete a separate application for each physical location where

How to fill out privileging application - highmark

Point by point how to fill out privileging application - highmark:

1. Start by downloading the privileging application form from the Highmark website or request a copy from the appropriate department.
2. Read the instructions carefully to understand the required information and documentation needed for the application.
3. Begin by entering your personal information, such as your name, contact details, and professional identification number.
4. Provide details about your education and training, including the schools you attended, degrees earned, and any specialized certifications or fellowships.
5. List your previous work experience in chronological order, including the names of organizations, dates of employment, and positions held.
6. Specify your areas of specialty or expertise, highlighting any sub-specialties or additional qualifications.
7. Include information about your professional references, providing their names, contact details, and their relationship to you.
8. Complete the section regarding your current professional liability insurance coverage, including policy details and coverage limits.
9. Attach any requested documentation, such as copies of your medical license, board certification, and professional society memberships.
10. Review the completed application for accuracy and completeness before submitting it to the designated department.

Who needs privileging application - highmark?

1. Healthcare professionals who wish to obtain privileges at Highmark affiliated hospitals or healthcare facilities.
2. This could include physicians, surgeons, dentists, psychologists, nurses, and other licensed medical practitioners.
3. It is important to check with Highmark or the specific facility to determine if a privileging application is required in your particular case.

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What is privileging application - highmark?

The privileging application - highmark is a form or process used to assess and verify the qualifications, credentials, and privileges of healthcare professionals seeking to provide services within the highmark network.

Who is required to file privileging application - highmark?

Healthcare professionals, such as doctors, nurses, and allied health professionals, who wish to provide services within the highmark network are required to file a privileging application - highmark.

How to fill out privileging application - highmark?

To fill out a privileging application - highmark, healthcare professionals need to provide detailed information about their education, training, certifications, licenses, work experience, and references. They may also need to submit supporting documents such as transcripts and recommendation letters.

What is the purpose of privileging application - highmark?

The purpose of the privileging application - highmark is to ensure that healthcare professionals within the highmark network have the necessary qualifications, credentials, and privileges to provide safe and quality care to patients.

What information must be reported on privileging application - highmark?

On a privileging application - highmark, healthcare professionals are typically required to report information such as their education, training, certifications, licenses, work experience, current employment, malpractice history, disciplinary actions, and references.